MARLO RAE HARGRAVE NP
NPI 1275041923
Nurse Practitioner - Family in Newport, AR

Q: What is Marlo Hargrave's NPI number?

The NPI number for Marlo Hargrave is 1275041923. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Q: What is Marlo Hargrave's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marlo Hargrave was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2018PECOS EnrolledAccepts Medicare Assignment

2200 MALCOLM AVE, NEWPORT, AR 72112(870) 512-2500(870) 512-2525 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2021, Jan 23, 2019, Oct 3, 2018 and 1 more (4 updates tracked since 2018).

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About Marlo Rae Hargrave Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLO RAE HARGRAVE NP (NPI 1275041923) is an individual family provider in Newport, Arkansas, licensed in Arkansas (A005695) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275041923

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARLO RAE HARGRAVECredential: NP

Location Address2200 MALCOLM AVENewport, AR 72112-3668

Mailing Address16 Hospital Cir Ste ABatesville, AR 72501-7343 · (870) 262-5545

Phone(870) 512-2500

Fax(870) 512-2525

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 16, 2018

Last NPPES UpdateApril 20, 20214 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1275041923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005695

Also ListedRegistered NurseTaxonomy 163W00000X · License R090426 (AR)

2200 MALCOLM AVE, Newport, AR 72112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marlo Rae Hargrave Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264776533

PECOS Enrollment IDI20181128001359

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marlo Hargrave reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

White River Health System, Inc

1.5 mi

Rural Health

2200 MALCOLM AVE, SUITE B
Newport, AR 72112

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1467519249 (Arkansas), NPI 1760452643 (Arkansas), NPI 1083962286 (Arkansas), NPI 1962878207 (Arkansas), NPI 1154770436 (Arkansas), NPI 1578543070 (Arkansas), NPI 1568442127 (Arkansas), NPI 1962482430 (Arkansas), NPI 1013451186 (Arkansas), NPI 1104642354 (Arkansas), NPI 1568432144 (Arkansas), NPI 1457396616 (Arkansas)
34 clinicians in this Medicare group

NPI 1871609743 (870) 523-9270

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

222 services136 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

219 services121 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

204 services53 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

157 services110 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

123 services102 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

106 services90 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

102 services86 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

94 services88 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

94 services14 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

81 services56 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

81 services81 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

76 services43 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

65 services39 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

36 services25 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

29 services28 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

24 services14 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

23 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$7.81 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$109.84 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier13 claims13 services$177.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$26.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYANT HOLIFIELD & DAVIS PHARMACY

Pharmacy (Long Term Care Pharmacy)

2200 MALCOLM AVE
NEWPORT, AR 72112

Jackson County (870) 523-9472

DR. LORI WARD PHARM D

Pharmacist

2200 MALCOLM AVE
NEWPORT, AR 72112

Jackson County (870) 523-9472

WHITE RIVER HEALTH SYSTEMS

Clinic/Center (Primary Care)

2200 MALCOLM AVE, SUITE B
NEWPORT, AR 72112

Jackson County (870) 523-9270

GUILFORD M. DUDLEY, M.D., P.A.

Internal Medicine (Adolescent Medicine)

2200 MALCOLM AVE, SUITE B
NEWPORT, AR 72112

Jackson County (870) 512-2522

JULIE LYDOLPH MD

Nurse Practitioner (Family)

2200 MALCOLM AVE
NEWPORT, AR 72112

Jackson County (870) 512-2500

WHITE RIVER HEALTH SYSTEM, INC

Clinic/Center (Rural Health)

2200 MALCOLM AVE, SUITE B
NEWPORT, AR 72112

Jackson County (870) 523-9270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlo Hargrave's NPI number?

The NPI number for Marlo Hargrave is 1275041923. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Marlo Hargrave located?

Marlo Hargrave practices at 2200 Malcolm Ave, Newport, AR 72112. The listed phone number is (870) 512-2500.

What is Marlo Hargrave's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marlo Hargrave enrolled in Medicare?

Yes. Marlo Hargrave is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marlo Hargrave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlo Hargrave reassigns Medicare benefits to White River Health System, Inc (Newport, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlo Hargrave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlo Hargrave accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Marlo Hargrave as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlo Hargrave was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.